Director - Front-end Revenue Cycle Optimization (Remote)

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Day - 08 Hour (United States of America)

This is a Stanford Health Care job.

A Brief Overview

The Front-end Revenue Cycle Optimization Director is responsible for overseeing the process optimization for all Patient Access, Patient Financial Clearance, Patient Registration Outreach and Financial Counseling Services to achieve best practice Epic automation and integrated technology standardization. Provides superior performance improvement opportunities for registration, patient estimates, financial counseling, financial clearance, admitting, authorization, and insurance verification processes and workflows at Stanford Health Care. The incumbent works with the Executive Director to develop future strategic goals and current to future state road map across front-end Revenue Cycle departments in collaboration with IT.

Locations

Stanford Health Care

What you will do

• Works with Executive Director to develop strategic processes for the department
• Principal leader of continuous improvement methodology, training, execution, and project management
• Utilizes data and key performance indicators to monitor performance and drive further analysis for potential optimization.
• Develops and communicates sound strategic recommendations based on clear understanding of department objectives
• Lead strategy member for process improvement initiatives, including assessment, analysis, recommendations, development, implementation, and monitoring
• Assesses all organizational activations and clinic expansions for potential impacts to Front-end Revenue Cycle operations including volume, staffing, and projected outcomes
• Provides recommendations and suggestions for projects and operational changes that impact Front-end Revenue Cycle
• Supports standardization and consistent practices across both Revenue Cycle and enterprise-wide front-end operations
• Develops stakeholder assessments, user journeys and experience maps
• Analyzes relevant consumer and industry data to provide insight and lead strategic & transformational projects and presentations
• Actively contributes thought leadership and fresh ideas for growing and evolving department outputs and processes
• Stewards the creative process to ensure all work aligns with strategic goals
• Fosters strong relationships with key stakeholders
• Implements initiatives and processes to ensure that all work is completed according to scheduled deadlines with attention to quality standards, priorities, and overall goals
• Serve as a resource for other team members, based on a strong working knowledge of team's responsibilities and goals
• Participates in task forces, strategic initiatives, stretch assignments and collaboration opportunities with other business units
• Facilitate sustainable change across the department
• Supports and is consultative to Front-end Revenue Cycle for issues related to, Epic, MyHealth, and other interface workflows.
• Acts as the liaison between Front-end Revenue Cycle and various Epic teams that work on revenue related workflows
• Analyzes trends in the workflows that preclude and are a barrier to referral, authorization, registration, insurance verification, financial counseling, and financial clearance workflows
• Reviews opportunities with the Front-end Revenue Cycle teams to make improvements to Epic workflows.
• Supports process improvement opportunities and operational changes related to third-party vendors and organizations
• Collaborates with clinical areas and Front-end Revenue Cycle leaders to perform assessments of current workflows that appear to hinder successful financial clearance and patient throughput.
• Advises the Front-end Revenue Cycle Directors on development of Epic workflow projects that can demonstrate improvement to the stream of Revenue
• Undertakes and manages "Special Projects" to support the entire Front-end Revenue Cycle Team and its Epic Workflow issues.
• Evaluates the quality and effectiveness of the current Epic workflows with a view to improvements to the front-end processes and standard work
• Partners with leadership to achieve revenue cycle metrics and quality performance. Identifies barriers and facilitates resolutions. Drives meaningful and impactful change to key KPIs.
• Collaborates with operational leaders in the development, implementation and coordination of workflows, policies, procedures, and guidelines
• Continuously monitors and updates existing departmental policies when changes to operations and workflows are made
• Performs other duties as needed or assigned.

Education Qualifications

• Bachelor's degree in business, finance or a healthcare related field required.

Experience Qualifications

• Eight (8) years of progressively responsible and directly related front-end revenue cycle work
  experience including four (4) years prior management/leadership experience
• Epic Cadence Prelude Certification and Epic Referrals and Authorizations certifications to be acquired within first 6 months of employment
• Certified Healthcare Access Manager (CHAM) Certification from the National Association of Healthcare Access Management (NAHAM) to be acquired within the first year of employment

Required Knowledge, Skills and Abilities

• Strong background in successful process improvement initiatives
• Strong background in business process and technological innovation within Front-end Revenue Cycle business environments
• Proven experience leading and managing others through strategy and change process initiatives
• Experience leading and directing within healthcare organizations
• Ability to assess and monitor teamwork, load/capacity and shift timing and/or responsibilities appropriately to achieve sustainable pace while continuing to achieve results
• Communicates well with patients and all internal staff
• Effective interpersonal skills and professional conduct
• Facilitates and leads group discussions
• Emotional intelligent and tactful in all situations.
• Superior presentation skills, able to present in a clear and articulate fashion in front of a variety of constituents.
• Exceptional communication skills, ability to explain, advocate, and express facts and ideas in a convincing manner, and negotiate with individuals and groups internally and externally
• Excellent written and oral communication
• Outstanding relationship management skills, easily builds strong and effective working relationships within a climate of trust, inspires cooperation and confidence and is a true consensus builder
• Maintain effective working relationships with all employees and upper management
• Manage multiple projects in a timely and efficient manner
• Strong problem-solving abilities, strong organization and decision-making abilities
• Developing and disseminating information effectively and appropriately
• Strong knowledge of patient access systems (Epic) as well as related databases
• Relevant Hospital Policies, Practices and HIPAA regulations
• Ability to work independently with strong follow-up skills to ensure effective and efficient completion of tasks
• Utilize Lean/project management protocols for efficient workflows
• Utilize Microsoft Excel, Word, Project, Visio, PowerPoint or other spreadsheet and/or word processing Software

Licenses and Certifications

• Epic Cadence Prelude Certification - ECPC required within 180 Days
• Epic Referrals and Authorizations Certification - ERAC required within 180 Days
• Certified Healthcare Access Manager - CHAM required within 1 Year

Physical Demands and Work Conditions

Blood Borne Pathogens

• Category II - Tasks that involve NO exposure to blood, body fluids or tissues, but employment may require performing unplanned Category I tasks

These principles apply to ALL employees:

SHC Commitment to Providing an Exceptional Patient & Family Experience

Stanford Health Care sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford's patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery.

You will do this by executing against our three experience pillars, from the patient and family's perspective:

• Know Me: Anticipate my needs and status to deliver effective care
• Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health
• Coordinate for Me: Own the complexity of my care through coordination

#LI-RL1

Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.

Base Pay Scale: Generally starting at $68.38 - $90.62 per hour

The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to, internal equity, experience, education, specialty and training. This pay scale is not a promise of a particular wage.